Individual
MRS. DANA S TRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, STS, CEAS
Contact information
Practice address
1728 N RICHMOND RD, MCHENRY, IL 60051-5414
(815) 578-8905
(815) 578-8904
Mailing address
309 TALISMON DR, CRYSTAL LAKE, IL 60012-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05623778
BLUECROSS/BLUE SHIELD
IL
01
—
070010460
STATE LICENSE NUMBER
IL
Enumeration date
07/05/2006
Last updated
04/26/2010
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